Organization Active NPI

Coastal Rheumatology, LLC

Doing business as South Florida Rheumatology

  • Rheumatology Physician
  • Hollywood, FL
National Provider Identifier
1841057445
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
COASTAL RHEUMATOLOGY, LLC
Doing business as
South Florida Rheumatology
Practice address
3800 Johnson St Ste D
Hollywood, FL 33021-6052
Phone
(954) 237-3000
Fax
(954) 837-9299
NPI assigned
Mar 1, 2024
Last updated
Feb 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicole Beguiristain
Title
Director, Business Development
Phone
(786) 394-3063

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X NU Primary
Infusion Therapy Clinic/Center 261QI0500X NU

Addresses

Primary practice location

3800 Johnson St Ste D
Hollywood, FL 33021-6052

Mailing address

4331 N Federal Hwy Ste 301
Ft Lauderdale, FL 33308-5252
Phone (954) 237-3000

Other practice location 1

4700 Sheridan St Ste C
Hollywood, FL 33021-3416
Phone (954) 237-3000

Other practice location 2

4331 N Federal Hwy Ste 301
Ft Lauderdale, FL 33308-5252
Phone (954) 237-3000

Other practice location 3

476 biltmore way
Ste 101-A
Coral Gables, FL 33134
Phone (954) 237-3000

Other practice location 4

5511 S Congress Ave Ste 115
Atlantis, FL 33462-1140
Phone (954) 237-3000

Other names 1

  • South Florida Rheumatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240402003796 FL Part B Supplier - Clinic/Group Practice 1658719216 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hollywood, FL; Ft Lauderdale, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Coastal Rheumatology5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

476 Biltmore Way
Ste 101a
Coral Gables, FL 33134
Phone (954) 237-3000

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1841057445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4331 N FEDERAL HWY STE 301",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085252",
            "telephone_number": "954-237-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 JOHNSON ST STE D",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216052",
            "telephone_number": "954-237-3000",
            "fax_number": "954-837-9299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Sheridan St Ste C",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330213416",
            "country_code": "US",
            "telephone_number": "954-237-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4331 N Federal Hwy Ste 301",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "333085252",
            "country_code": "US",
            "telephone_number": "954-237-3000",
            "fax_number": "954-837-9299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "476 biltmore way",
            "address_2": "Ste 101-A",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "33134",
            "country_code": "US",
            "telephone_number": "954-237-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5511 S Congress Ave Ste 115",
            "address_purpose": "LOCATION",
            "city": "Atlantis",
            "state": "FL",
            "postal_code": "334621140",
            "country_code": "US",
            "telephone_number": "954-237-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL RHEUMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "BEGUIRISTAIN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR, BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "786-394-3063"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Florida Rheumatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Florida Rheumatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.